NPI | 1538357439 |
---|---|
Former Legal Business Name | GREAT EXPECTATIONS RESIDENTIAL SERVICES, INC. |
Entity Type | Organization |
Authorized Contact | ANTHONY CHARLES PACKER Owner/ President 910-860-3325 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL047062) |
Enumeration Date | 2007-10-05 |
Last Update Date | 2007-10-05 |